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儿童脑肿瘤手术的特殊麻醉注意事项

Special Anaesthetic Considerations for Brain Tumour Surgery in Children.

作者信息

Jeker Sandra, Beck Maria Julia, Erb Thomas O

机构信息

Department of Pediatric Anesthesia, University Children's Hospital Basel (UKBB), 4056 Basel, Switzerland.

Department of Pediatric Anesthesia, University of Basel, 4001 Basel, Switzerland.

出版信息

Children (Basel). 2022 Oct 9;9(10):1539. doi: 10.3390/children9101539.

DOI:10.3390/children9101539
PMID:36291476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9600674/
Abstract

Brain tumours are among the most common neoplasm in children. Therefore, paediatric anaesthesiologists face the challenge of neurosurgical interventions in all age groups. To minimize perioperative mortality and morbidity, a comprehensive understanding of age-dependent differences in anatomy and cerebrovascular physiology is a mandatory prerequisite. Advances in subspeciality training in paediatric neurosurgery and paediatric anaesthesia may improve clinical outcomes and advance communication between the teams.

摘要

脑肿瘤是儿童中最常见的肿瘤之一。因此,儿科麻醉医生面临着为各年龄段儿童进行神经外科手术的挑战。为了将围手术期死亡率和发病率降至最低,全面了解解剖结构和脑血管生理学中与年龄相关的差异是必不可少的前提条件。儿科神经外科和儿科麻醉亚专业培训的进展可能会改善临床结果,并促进团队之间的沟通。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d4c/9600674/8929180a21be/children-09-01539-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d4c/9600674/3868bef7e906/children-09-01539-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d4c/9600674/e6456f86e08d/children-09-01539-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d4c/9600674/e585598ee919/children-09-01539-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d4c/9600674/8929180a21be/children-09-01539-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d4c/9600674/3868bef7e906/children-09-01539-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d4c/9600674/e6456f86e08d/children-09-01539-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d4c/9600674/e585598ee919/children-09-01539-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d4c/9600674/8929180a21be/children-09-01539-g004.jpg

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Effectiveness of a novel 1% glucose isotonic electrolyte solution for intraoperative fluid therapy in children: a randomized controlled trial.新型 1%葡萄糖等渗电解质溶液用于儿童术中液体治疗的效果:一项随机对照试验。
J Int Med Res. 2021 Nov;49(11):3000605211055624. doi: 10.1177/03000605211055624.
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A Brief Review of Brain's Blood Flow-Metabolism Coupling and Pressure Autoregulation.
脑血流-代谢耦联和压力自动调节简述。
J Neurol Surg A Cent Eur Neurosurg. 2021 May;82(3):257-261. doi: 10.1055/s-0040-1721682. Epub 2021 Feb 14.
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Starvation Ketosis in the Pediatric Emergency Department: A Prospective Estimate of Prevalence.儿科急诊中的饥饿性酮症:患病率的前瞻性估计。
Pediatr Emerg Care. 2022 Jan 1;38(1):e147-e150. doi: 10.1097/PEC.0000000000002188.
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Effects of Vasopressors on Cerebral Circulation and Oxygenation: A Narrative Review of Pharmacodynamics in Health and Traumatic Brain Injury.血管加压药对脑循环和氧合的影响:健康和创伤性脑损伤中药物动力学的叙述性综述。
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Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines.《小儿严重创伤性脑损伤管理指南》第三版:脑创伤基金会指南更新
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